Correlation between magnetic resonance imaging manifestations and prognosis in long-term consciousness disorder patients with severe traumatic brain injury
10.3760/cma.j.issn.1671-8925.2010.03.014
- VernacularTitle:重型颅脑损伤长期意识障碍患者MRI表现与预后的关系
- Author:
Geng-Si JIANG
1
;
Xiang-Yu WANG
;
Wei-Wei XU
;
Jun WEN
;
Yi-Zhao CHEN
;
Cheng-Yi LUO
Author Information
1. 广东省神经外科研究所
- Keywords:
Brain injuries;
Consciousness disorders;
Magnetic resonance imaging
- From:
Chinese Journal of Neuromedicine
2010;9(3):273-276
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the correlation between magnetic resonance imaging(MRI)manifestations and the prognosis in long-term consciousness disorder patients with severe traumatic brain injury(TBI).Methods MRI data were collected in 66 patients with a duration of disturbance of unconsciousness for more than 2 weeks.These patients suffered from severe TBI and were admitted to our hospital from January 2003 to August 2008.The data about regions of abnormal signal in T2WI in the brain stem,the thalamus,the basal forebrain,the corpus callosum,the cerebral cortex and the subcortical area were recorded and analyzed.The patients were divided into conscious and unconscious groups based on the outcome 6 months after the injury.Logistic regression analysis was used to calculate the OR value between the lesions and the poor outcome of the patients.Results The lesions of the dorsal upper brain stein,the thalamus and the corpus callosum between the conscious and unconscious groups were significantly different.The lesions of the dorsal upper brain stem,the corpus callosum and the thalamic by MRI predict the poor outcomes.Conclusion The MRI manifestations can demonstrate the cerebral dysfunction and probabilities of patients' outcome objectively and accurately.
